This operation is one that has most progressed in the last 20 years.

In early days, it consisted of removing small circular islands from the scalp at the posterior area of the head where the hair strands have no genetic message of falling precociously. These islands, from 2, 3, 4mm. in diameter, were transplanted to the bald area.

Hair transplant: design of micro-islands where it is important to preserve hairy bulbs. It is preserved from one to four per island, so that they can be transplanted. Preferably in the posterior hair region, where the hair does not fall.

 

Although the hair growed efficiently, the circular islands and the too delineated boundaries caused an unnatural aspect, resembling the so called “doll’s hair”.

The technique has evolved much after removal of islands from the healthy hair was replaced by micro-islands: a strip of hairy tissue is microscopically analyzed and separated into hundreds of micro-islands with 1.2 or 3 hair bulbs each.

These micro-islands are inserted into the receptor site through minimal perforations with a needle.

So the results are, one might say, very natural, almost perfect. A large percentage of the transplanted hairs “remain intact”, they grow naturally, and after the three months’ post operation – they can already be combed – at 6 months, cut. In addition, the implanted hair does not have the tendency to fall, remaining in-tact for the rest of the life.

It is a surgery usually performed under local anesthesia and, most of the times, the patient is discharged the same day.

Its biggest inconvenience may be the costs because, although it is low risk, depending on the case it may require several hours of use of the Surgical Center.

 

 

 

Repairing scalp surgery. A difficult case of alopecia post-burn. An island of hair tissue is planned in the posterior region of the head, which after four fold-overs will reach the frontal region, creating a new line of hair implantation. The hair will grow abundantly covering residual baldness after the flap.

Scalp Expansion

 

Scalp Reduction